• Quality Senior Analyst

    CVS Health (PA)
    …Categories (HCC) required. + Completion of AAPC/AHIMA training program for core credential ( CPC , CCS -P) with associated work history/on the job experience equal ... to approximately 5 years for CPC . + CPC (Certified Professional Coder) **or** CCS -P (Certified.... + CPC (Certified Professional Coder) **or** CCS -P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment… more
    CVS Health (09/30/25)
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  • Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    …in medical record documentation review, diagnosis coding, and/or auditing. + CPC (Certified Professional Coder) or CCS -P (Certified Coding Specialist-Physician) ... experience + Completion of AAPC/AHIMA training program for core credential ( CPC , CCS -P) with associated work history/on the job experience equal to approximately… more
    CVS Health (09/27/25)
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  • Certified Risk Adjustment Coding/Audit Specialist

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …in the services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS -P, and AAPC CRC certification. 2+ years coding, Medicare ... + 2 -4-year relevant work experience + AAPC or AHIMA Certification ( CPC , CRC, CCS ) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge +… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    …improve the accuracy of coding, compliance and clinical documentation. The Certified coder ( CPC or CCS -P) is responsible for detailed analysis of out-patient ... Additional experience could be considered in lieu of degree. + CCS or Certified Procedural Coder - CPC (AAPC) (Required) + RHIA, RHIT (Preferred) We believe that… more
    Penn Medicine (08/07/25)
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  • Provider Services Auditor

    St. Luke's University Health Network (Allentown, PA)
    …of job. EDUCATION AND TRAINING: High school diploma or equivalent required. Certification of CPC , CCS , or CCS -P highly desired OR Coding certification within ... one year. Working knowledge of ICD-9, CPT, and HCPCS coding required. TRAINING AND EXPERIENCE: At least 2 years of healthcare experience with background and competency in coding and documentation State and Federal regulatory requirements including Medicare,… more
    St. Luke's University Health Network (09/04/25)
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  • Compliance Audit Manager

    Cardinal Health (Harrisburg, PA)
    …work, with oncology and urology coding preferred. + AAPC or AHIMA coding certification ( CPC , CCS , CCS -P, COC, or RHIA, etc.) required. Auditing certification ... preferred. + Extensive knowledge of evaluation and management and/or hospital facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding rules;… more
    Cardinal Health (08/27/25)
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  • Senior Medical Coding Reviewer

    Centene Corporation (Harrisburg, PA)
    …- State Licensure and/or Compact State Licensure required or ** CPC , CPC -H, CPC -P or CPC -A required or:** CCS or CCS -P required or RHIT or RHIA ... required or PARAMEDIC - Paramedic - Licensed required or CPMA required or **Medical Record Technician (MRT) required** Pay Range: $33.03 - $59.47 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and… more
    Centene Corporation (09/25/25)
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  • Manager, Fraud and Waste

    Humana (Harrisburg, PA)
    …**Preferred Qualifications** + Certifications (BA, MBA, JD, MSN, Clinical Certifications, CPC , CCS , CFE, AHFI) + Understanding of healthcare industry, ... claims processing and internal investigative process development + Experience in a corporate environment and understanding of business operations **Additional Information - How we Value You** + Benefits starting day 1 of employment + Competitive 401k match +… more
    Humana (09/24/25)
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  • Coding Analyst Senior

    Elevance Health (Seven Fields, PA)
    …experience, which would provide an equivalent background. + Certified Medical Code ( CPC or CCS -P) required. **Preferred Skills, Capabilities and Experiences** : ... + Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted… more
    Elevance Health (09/18/25)
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  • Certified Network Facility Lead Coder

    St. Luke's University Health Network (Allentown, PA)
    …ADDITIONAL REQUIREMENTS: Expected to maintain designated CEUs for AHIMA/AAPC credentials (RHIA, RHIT, CCS , CPC , COC) in accordance with the AHIMA Governing Body ... QUALIFICATIONS (MINIMUM) EDUCATION: Formal HIM education with national certification RHIA, RHIT, CCS , CPC , COC coding certification required. Candidates with 5… more
    St. Luke's University Health Network (08/30/25)
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